The Influence of Social Media Lifestyle Interventions on Health Behaviour: A Study on Patients with Major Depressive Disorders and Family Caregivers

A. Jattamart1, A. Leelasantitham1, *
1 Technology of Information System Management Division, Faculty of Engineering, Mahidol University, Nakhonpathom, Thailand

Article Metrics

CrossRef Citations:
Total Statistics:

Full-Text HTML Views: 5931
Abstract HTML Views: 1542
PDF Downloads: 602
ePub Downloads: 435
Total Views/Downloads: 8510
Unique Statistics:

Full-Text HTML Views: 2900
Abstract HTML Views: 794
PDF Downloads: 432
ePub Downloads: 269
Total Views/Downloads: 4395

Creative Commons License
© 2019 Jattamart & Leelasantitham.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: ( This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence this author at the Division of Technology of Information System Management, Faculty of Engineering, Mahidol University, Nakhonpathom, Thailand; E-mail:



The World Health Organisation (WHO) predicts that depression will be the second leading cause of diseases by 2020. If depression is not properly treated, it can develop into a depressive disorder and increase the risk of suicide.Besides biopsychosocial factors, lifestyle is said to be a major cause of this disease and has led to an increase in its prevalence.


The objective of this study was to study the intentions of patients with major depressive disorders and family caregivers to change their health behaviour and lifestyle through social media influences.


This was a cross-sectional study. Participants were invited to take part in the research and give their informed consent. The sample consisted of 157 patients diagnosed with major depressive disorders, aged 18 years and over, and 110 family caregivers. Data were collected from the questionnaires designed according to the I-Change Model (ICM). Statistical results to confirm causal relationships were analysed based on Structural Equation Modelling (SEM) and by using the SmartPLS 3 software.


Patients and family caregivers were questioned about their perspectives on health matters and the influence on their motivations and intentions to change patients’ health behaviour and lifestyle, particularly social media interventions. The patients received information and counselling about health matters, health awareness, motivation and their intentions to change their health behaviour. The family caregivers were presented with the same information and counselling to motivate them to influence the depressive patients’ intentions to change their health behaviour.


It is possible that lifestyle interventions on social media can influence the intention to change health behaviour in both patients and caregivers. However, if the patient lacks interest in participating in the treatment and does not have a good relationship with the clinician or provide relevant information to the experts; this can be an obstacle to changing their health behaviour. Therefore, future research should be conducted to ascertain which interventions are appropriate for patients and to study the long-term effects of any risks from using social media in patients with major depressive disorders.

Keywords: Health behaviour change, Social media, Depressive patients, Family caregivers, Lifestyle intervention, I-Change model.